Ellent, Rita

Ellent, Rita is an sole proprietor health care provider with primary practice located at 8325 37Th Ave , Jackson Heights NY 11372-7320. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ellent, Rita can be contacted via phone (718) 426-2725.

Contact Information

Primary practice address
8325 37Th Ave Jackson Heights NY 11372-7320
Phone: (718) 426-2725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT005856 New York

Profile Details

NPI number 1649278953
LBN Legal business name Ellent, Rita
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Jul 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649278953 NPPES
New York Other 49890 DAVIS
New York MEDICAID 02287781 DAVIS

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